JIVATVA ISSUE-1

LJ INSTITU ISSUE 1OTHERAPY TE OF PHYSI LJ INSTITUTE OF PHYSIOTHERAPY An Institute of Excellence Recognized by the Gujarat State Council for Physiotherapy

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ABOUT L J UNIVERSITY The L J University was setup in 2019 as an umbrella organization for its 18+ constituent institutes offering courses in various disciplines like engineering, management, pharmacy, computer applications, etc. since 1980. Thus, while the university is of a recent origin, its constituent institutions have a sparkling history of over 40 years. The university operates from a well-developed environment friendly campus having excellent infrastructure facilities. Technology enabled classrooms, laboratories, workshops, seminar halls, auditoriums, open-air theater, library, and computer centers connected with optical bre and a network of over 2000 workstations, ensure most updated learning pedagogy and mechanisms. The L J University hosts 700+ well qualied and academically rich faculty member, shaping the future of over 18000 students by engaging in teaching-learning, research and extension activities. ABOUT L J INSTITUTE OF PHYSIOTHERAPY L J institute of Physiotherapy, incepted in the year 2016, is another feather in the cap of the L.J.K. trust. LJIPT is just 5 years old, but it has already created its mark among the top Physiotherapy institutes of Ahmedabad. It provides a great learning environment with good infrastructure, laboratories, skilled and Hard-working Faculty, clinical postings in Government and Private Hospitals, a peaceful library and digitally equipped classrooms. The students are taught not only through the conventional method of lectures and seminars, but also through case discussions, Evidence Based practice methods and live demonstrations which enhance their clinical decision making and hands on skills. The esteemed faculty of the institute has uploaded over 250 videos on YouTube for knowledge enhancement and global learning. The institute believes in all-round development of the students and provides equal opportunity to develop creative skills through various extra-curricular programs. LJIPT provides an environment that, not only enhances professional skills but also, makes the students succeed in Life.

MESSAGE FROM THE PRESIDENT I am glad to know that LJIPT is bringing out its rst Annual magazine 'Jivatva'. It starts a journey that is going to be loved and cherished by all. In this current pandemic situation we all have witnessed numerous changes in the Teaching concepts and perspectives, LJIPT has accepted all the challenges and upgraded itself to this pandemic situation by successfully providing high quality education in the physiotherapy programme. I congratulate the Principal, Faculty, Staff Members and students for the publication of this magazine. MESSAGE FROM THE VICE-PRESIDENT I Extend my heartiest greetings to LJIPT for bringing out Annual Magazine 'Jivatva'. The motto of LJIPT is to build a strong foundation which comprises of innovation and start-up opportunities for the contribution to quality health care. The education provided at LJIPT is rmly focused on striking a balance between curricular activities for the preparation of the students' academic career and co-curricular activities to help them develop out of the box thinking and learn essential life skills like leadership and Team work. I am very much glad to provide our readers a glimpse of it by means of the very rst issue of JIVATVA. Wishing you the best for scaling bigger success and achieving newer heights in the coming days. 3

MESSAGE FROM THE VICE-CHANCELLOR Dear Dr. Dhanasekaran, I am pleased to learn that the L J Institute of Physiotherapy is bringing out a Magazine on the institute's multifarious activities, containing articles contributed by its faculty and students. While going through some of the pieces, I found the creativity at its zenith. Beautifully articulated articles, interspersed with heart touching poems, make it quite an interesting reading. Physiotherapy is a branch of medical science that offers non- interventional cures to human sufferings and pains related to muscles and bones. While there are references of this art in ancient lndian, Chinese & Greek literature, the modern phase of Physiotherapy evolved somewhere during early 18th century. However, India had to wait until 1952 when the rst school and centre for Physiotherapy was established in Mumbai. Since then the discipline has witnessed a phenomenal growth. The L J Institute of Physiotherapy, set up in 2016, is also contributing to its furtherance and growth. The most impressive aspect of this science is that it is people-centric. Despite its increasing popularity, it has remained affordable enough to serve the masses. I have personal experiences and have been a beneciary of the Art of Physiotherapy. It is a miracle and does wonder. I feel privileged to be associated with the institute, in my capacity as the Vice-Chancellor of L J University. I am proud of the well qualied and experienced faculty members of the Institute, who are making all-out efforts to take it to newer heights, under the able leadership of Dr. Dhanasekaran, who is a very respected professional in the eld. I would like to congratulate and compliment the Magazine's Editors Prof Priya Singh Rangey and Prof Srishti Banerjee and the Editorial Team, for bringing out this valuable and interesting publication. MESSAGE FROM THE DIRECTOR It gives me great pleasure to write a few words for our institute in house magazine 'Jivatva'. It is exclusively meant for bringing out the potential writing talent as a part of students overall personality development. It is indeed a matter of great pride that L J Institute of Physiotherapy has made outstanding progress, in academic, co-curricular & extracurricular activities. I feel proud of being the Director of such a magnicent institution fully dedicated for the betterment of students. I congratulate all the contributors and the editorial board for bringing out such an outstanding magazine. 4

MESSAGE FROM THE HOD It gives me great pleasure to write this message for our institute's rst magazine 'JIVATVA”. I am sure in times to come many students from our institute will make indelible mark nationally and internationally in the eld of physiotherapy and make us proud, we hold rm belief in our ability to succeed, and we nurture an attitude of self- reliance, condence, commitment, responsibility to the mother land that we are to serve. I am condent that the students would justify the credibility of the institute by showing a high level of competence in professional practice. EDITOR’s NOTE Dear readers, We are glad to present the rst issue of JIVATVA. The very rst comes with a combination of amusement, knowledge and experience. We have tried to create a journey for our readers which includes diverse experiences from legendary physiotherapist on one hand to patient experiences on other hand. Apart from this, this issue comes with some fun games, puzzles and various pieces of art. The faculty members of L J institute of Physiotherapy have put in their best efforts to throw some light on interesting and recent advances in the eld of physiotherapy. All this would not have been possible without the support of LJK trust, Dr Manish Shah (Vice president, LJK), Dr Dinesh Awasthi (Vice – Chancellor, L J University), P. Dhanasekaran (Director, L J Institute of Physiotherapy), all the faculty members of L J Institute of Physiotherapy and our dear students. Happy reading!!! Dr. Priya Singh Rangey (Editor:JIVATVA) Dr.Srishti Banerjee (Sub-Editor:JIVATVA) 5

THE PIONEERS OF JIVATVA CHIEF EDITORS Dr. Priya Singh Rangey Editor Dr. Srishti Banerjee Sub Editor SPONSORSHIP TEAM Dr. Siddharth Joshi THE EDITORIAL TEAM Hetvi Dimothe Devanshi Mehta Tithi Patel Retanshi Sunita Vaghela Shalini Madhad Sanket Malaviya Brahmbhatt 6

CREATIVE CONTENT TEAM Saloni shah Jaini Shah Mugisha Saiyed Mudra Chauhan Devanshi Nagar Shaikha Saiyed Nidhi Bhadra Honey Bhavsar Tanvi Dobariya PHOTOGRAPHY TEAM Khushi Patel Heli Patel Vrunda Shah Disha Shah Devanshi Solanki Himani Kapadia Darshan Patel Mandar Pandit Vrushali Panghera Dipsha Vyas CONTENT WRITING TEAM Aarsh Bhatt Rutwa Patel Vandana Shah Retanshi Jay Saxena 7 Brahmbhatt

Dr. P. Dhana Sekaran PT. Director / Associate Professor LJIPT, Specialization: Orthopedic Physiotheapy. Dr. Siddharth Joshi PT., HOD/ Assistant Professor LJIPT, Qualification: MPT, MFIMT., PhD (scholar), Specialization: Musculoskeletal and sports. Dr. Nupur Shah PT., Dr. Priyasingh Rangey PT., Assistant Professor LJIPT, Assistant Professor LJIPT, Qualification : MPT, Qualification : MPT, PhD (Scholar), Specialization : Musculoskeletal & sports Specialization : Rehabilitation Dr. Manali Reshamwala PT., Assistant Professor LJIPT, Qualification: MPT, PhD (scholar), Specialization: Cardiothoracic. Dr. Misbah Shaikh PT., Dr. Mehul Panchal PT., Assistant Professor LJIPT, Assistant Professor LJIPT, Qualification : MPT . Qualification: MPT Specialization : Neurology. Specialization: Musculoskeletal & sports. Dr. Srishti Banerjee PT., Dr. Ruchi Patel PT., Dr. Himani Prajapati PT., Associate Professor LJIPT, Assistant Professor LJIPT, Assistant Professor LJIPT, Qualification: MPT. Qualification : MPT Qualification : MPT. Specialization: Neurology. Specialization : Rehabilitation Specialization : Neurology. Non-teaching Staff ADMIN STAFF ADMIN STAFF OFFICE SUPPORT STAFF OFFICE SUPPORT STAFF VRUSHANK B. PARDESHI SHAIKH MOHAMMEDIZHAAR JITENDRA SOLANKI GAUTAM PARMAR B COM, M COM. MLISC. OFFICE ASSISTANT OFFICE ASSISTANT CLERK LIBRARIAN 8

FACULTY PARTICIPATION & ACHIEVEMENTS Dr. P. Dhanasekaran (M.P.T ORTHO, MFIMT) Publications: 1. Comparative Study between Maitland Mobilizations Versus Muscle Energy Techniques in Patients with Mechanical Neck Pain. - International Journal of physiotherapy and Research, September- October 2020. 2. Comparative Study of Muscle Strengthening Exercises for Treatment of Chronic Low Back Ache - Medical Journal of Dr. D Y Patil Vidyapeeth - Pune, October 2014. Courses Completed: 1. Completed Online Therapist Training course I - SARAH Training (4 Hrs.) Nov - 8th 2020, University of Oxford, UK. 2. Completed Online course on Manuscript writing for publishing in Quality Medical Journals (12 Hrs.) 30th August - 4th October, 2020. 3. Attended I International Web Physio Summit - May, 2020. 4. Dry Needling Course by –Dr. Subhanjan Das. 5. Mulligan Mobilization Course –Dr. Deepak Kumar –Capri Institute. New Delhi. Dr. Siddharth Joshi (M.P.T ORTHO, PhD SCHOLAR) Ÿ Attended National conference on Physiotherapy- AIIMS- New Delhi-2019. Ÿ Ofcial Physiotherapist for Marathon Event. Ÿ Conducted webinar on “Coexisting with Covid 19”. Ÿ Conducted webinar on “Clinical decision making in electrotherapy”. Ÿ Director - Satellite Physiotherapy Clinic Ÿ H.O.D physiotherapy department Avron Hospital/SGVP Hospital. Dr. Nupur Mehta (M.P.T ORTHO) Ÿ Authored an original research article on “Immediate effects of movement with mobilization on postural sway among patients of low back pain” in International journal of medical science and advanced clinical research in 2021. Ÿ Conducted an online session on 'Physiotherapy in Pregnant ladies’ Ÿ Peer reviewer for Rivista Publications Ÿ Editor of the page 'Elbow mobilizations' on Physiopedia Ÿ Antenatal Workshop by Dr. Snigdha Mehta Ÿ Pune Shoulder Rehabilitation Course Ÿ Attended CME on advanced physiotherapy treatment for OA knee Ÿ Presented a paper on recent advances in PT treatment in Frozen Shoulder patients, at IAP conference Ÿ Mulligan Mobilization course by Dr. Deepak Kumar Dr. Priyasingh Rangey (M.P.T REHABILITATION, PhD SCHOLAR) Ÿ Edited a book on “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020. Ÿ Authored a chapter on 'Knee disorders' in “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020. 9

Ÿ Co-authored a chapter on 'Electrodiagnosis' in “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020.Co-authored a chapter on 'Disorders of speech' in “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020. Ÿ Co-authored a chapter on 'Psychological issues in rehabilitation' in “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020. Ÿ Received a cash reward and letter of appreciation from Dr. Dinesh Awasthi, Vice-chancellor, LJ university, under the 'Scheme for promoting research among faculty members of the L.J. University in 2021. Ÿ Presented a poster on “Comparison of effect of Cryotherapy and Ultrasound Therapy and grip strength in subjects with acute lateral epicondylitis” at SIPCON-2019. Ÿ Published research article on “Prevalence of areca nut and tobacco use in school- going children in Ahmedabad “in Applied Medical Research Journal in 2019. Ÿ Published research article on “Knowledge, Attitude and Perception of post -graduate physiotherapy students towards research” in International Journal of Current Advanced Research in 2019. Ÿ Published Research article on “Spinal Postures of Children seated on the oor in Schools in Ahmedabad District, India” in Disability, CBR and Inclusive Development Journal in 2020. Ÿ Published Research article on “Perception of e-learning among physiotherapy students during the covid-19 pandemic” in International Journal of Advanced research in 2020. Ÿ Conducted webinar on “Coexisting with covid 19”. Ÿ Conducted webinar on “Clinical decision making in electrotherapy”. Ÿ Co-authored a chapter on 'Pain assessment and management' in “Principles and Practice of Physical Rehabilitation”, published by Jaypee Brothers Medical publishers in 2020. Dr. Manali Reshamwala (M.P.T CARDIOTHORACIC, PhD SCHOLAR) Ÿ Published research article on “Understanding the learning styles of Physiotherapy students.” in international journal of health sciences and research (July 2021). Ÿ Completed a four-week e-Course on DATA ANALYSIS FOR DISSERTATION held between 14th March and 4th April 2021. Ÿ Published research article on “prevalence of neck pain and back pain in computer users working from home during COVID-19 pandemic – a web based survey” in international journal of health sciences and research (February 2021). Ÿ Review article titled as “Rehabilitation of patients with hand transplantation” Published in India's Leading physiotherapy magazine: PHYSIOTIMES (November 2020 issue). Ÿ Paper publication in International Journal of Biomedical Research titled “Effect of concentric and eccentric resisted exercise on blood pressure and heart rate in mild to moderate hypertensive individuals.” Dr. Mehul Panchal (M.P.T ORTHO) Ÿ Attended International Fitness And Sports Convention. Ÿ Courses in Sports Nutrition with Pilates,Dynamax, Piloxing,VIPR Class and Functional Training. Ÿ Pilates And Sports Trainer. Ÿ Conducted webinar on “Coexisting with covid 19”. Ÿ Conducted webinar on “Clinical decision making in electrotherapy”. 10

Dr. Ruchi Patel (M.P.T REHAB) Ÿ Published research article on “Understanding the learning styles of Physiotherapy students.” in international journal of health sciences and research (July 2021). Ÿ Successfully conducted seminar on “Importance of Antenatal physiotherapy and Yoga during pregnancy” on 7th INTERNATIONAL YOGA DAY 2021 at Mansi Women's Hospital, Ahmedabad. Ÿ Completed a four-week e-Course on DATA ANALYSIS FOR DISSERTATION held between 14th March and 4th April 2021. Ÿ Published research article on “prevalence of neck pain and back pain in computer users working from home during COVID-19 pandemic – a web based survey” in international journal of health sciences and research (February 2021). Ÿ Research Article titled as Effects of Pilates exercises on trunk strength, endurance and exibility in computer professionals in international journal of health sciences and research (December 2020). Ÿ Review article titled as “Rehabilitation of patients with hand transplantation” Published in India's Leading physiotherapy magazine: PHYSIOTIMES (November 2020 issue) Dr. Srishti Banerjee (M.P.T in Neurology ) Ÿ Executive committee member at Environmental physiotherapy association. Ÿ Owner of a page title as “ Hydrocephalus” and “ impact of Covid-19 on nervous system in Physiopedia (Wikipedia for physiotherapists). Ÿ Published original research article titled “Immediate Effect of Non Ballistic Active Knee Extension in Neural Slump Position Versus Muscle Energy Technique on Hamstring Flexibility in Young Adults- Comparative Study” in Indian journal of physiotherapy and occupational therapy July-September 2020. Ÿ Published original research article titled “Effect of combining transcutaneous electrical nerve Stimulation with exercise regime on spasticity and Upper extremity function following chronic middle Cerebral artery stroke” in International Journal of Physiotherapy and Research (November 2020). Ÿ Published original research article titled“Essentials for sustainable physiotherapy : introducing environmental reasoning into physiotherapy clinical decision making”fysioterapeuten(june 2021). Ÿ Published Review article titled “Sleep disturbances in patients with spinal cord injury : Aetiology, effect on quality of life and management” ( September 2020 issue) in PhysioTimes. Ÿ Published Review article titled “Impact of Covid-19 on the nervous system” (November 2020 issue)in PhysioTimes. Ÿ Published Review article titled “Neuroplasticity A camouaged cardinal in ACL injury rehabilitation” in PhysioTimes. Ÿ Author of blog spot for Environmental physiotherapy association titled “Can preoperative physiotherapy reduce the carbon footprint of hospitals?” Ÿ Author of blog spot for journal of orthopaedic and sports physical therapy “Neuroplasticity : An overlooked essential element in low back pain rehabilitation” in 2021. Ÿ Conducted webinar on “Coexisting with covid 19”. Ÿ Conducted webinar on “Clinical decision making in electrotherapy”. Ÿ Conducted webinar on “Physiotherapy in mental health issues” for physiotrendz. Ÿ Conducted webinar on “Environmental physiotherapy : a collaborative approach to care for human and planetary health” for physiotrendz Ÿ Conducted webinar on “Environmental physiotherapy” for Parul University 11

STAFF ARTICLES Postnatal Physiotherapy By: Dr. Nupur Shah When a baby is born a mother is also born, that mother never existed. A new mom needs as much care as a newborn. The postpartum period is the rst six weeks after childbirth. This is the period of adjustments and healing for mothers. This phase is critical phase in the lives of mothers and new babies. Some common postpartum problems include- Exercises for Postpartum LBP (low back pain) Ÿ Urinary incontinence Ÿ Low back pain Hip bridges- Ÿ Depression Ÿ Diastasis recti Start lying at on your back, your Ÿ Breast engorgement knees bent and your arms in low V by Ÿ Difculty regaining the pre-pregnancy shape your hips. Ÿ Fatigue Your feet should be about hip- Women experience various physical, mental and emotional distance apart with your heels a few changes during her postpartum period. Postnatal workout has inches away from your butt. been reported to improve postpartum health outcomes in women such as improvement of physical tness, cardiovascular Push through your heels to lift your hips endurance, posture, reduction of postpartum recovery period, up while squeezing your glutes. strengthening of core muscles and relaxation. ... Pause for 1-2 seconds, and then Postnatal Management includes: lower back down. Patient education- Ÿ Proper hydration Ÿ Intake of calcium and vitamin D as per the guidance of physician Ÿ Commencement of exercise Ÿ Proper rest and sleep. A detailed assessment is required before commencing postnatal exercises. Postnatal workout- Low back pain- It is one of the most common problems during postpartum period. The classical hypothesis of LBP postulates that weight gain experienced during pregnancy results in postural changes leading to pain. The activation of local and global muscles of lumbar spine is impaired in majority of the cases. 12

Cat and Camel exercise: Ÿ Come onto your hands and knees, making sure your hands are under your shoulders, your knees are under your hips and your back is in a neutral position. Cat Ÿ Cat : Sink your back down towards the oor and lift your head up at the same time, sticking your tailbone out to make a curve with your spine Camel Ÿ Camel : Tuck your head and tailbone in, arching through your spine as to mimic a camel hump. Strengthning Abdominal Cobra Pose Posture correction/chest opening exercise: Chest lifting should be incorporated in post natal workout as majority of pregnant ladies complain of sagged breasts post pregnancy. Scapula retraction: Bring the shoulder blade closer to the spine. Pelvic oor muscles training - These are important exercises of postpartum period in order to strengthen the pelvic oor and cure the problem of urinary incontinence. Kegels exercise: Women are told to start and stop the ow of urine midstream during urination, gently yet rmly, several times. For the rst week, at least 6 repetitions are done slowly, maintaining tension for atleast 5 seconds each time followed by release. 13

Diastasis Recti - It is the separation of the rectus abdominis muscles in the midline at lineaalba. The integrity and continuity of abdominal musculature are disrupted. KICK OUT EXERCISE TABLE TOP HOLD Lying down on the mat, hold the legs as if you are placing them on top of the table. HEAD LIFT Lie down straight on your back and knees has to be bent. Tuck the chin and take the neck in exion. Neck Exercises- General Postnatal Exercises: -Spine twist Move the neck in the following directions. Sit on the oor keeping the legs straight, hands parallel to the oor. Rotate on each side. Wall squats- Side plank- Stand with your head and back Lie on your side with one leg against a wall. Position your feet stacked on top of the another, shoulder-width apart, about 18 then prop your body up on inches from the your hand or elbow while wall, and keep keeping feet stacked. your arms at your sides. Lower Plank- your body into a Place forearms on the oor squat position with elbows aligned below until your thighs shoulders and arms parallel to are parallel to your body at about shoulder the oor. width. 14

Lifestyle Modication and The normality of Menopause physiotherapy are two management By Dr. Priyasingh Rangey strategies that may help with most of the menopausal symptoms Menopause is a normal physiological phenomenon without any serious adverse effects. that occurs in the life of every female after the age of 45-50 years. Some females may have it early, some may have it Ÿ Hot ushes - Changing the type later in life. It is the natural cessation of menstrual cycle and it of dressing to involve more is an indication of the end of fertility for a female. cotton outts, trying to sit near a fan if possible during an Understanding menopausal transition: episode, trying to stay indoors A female is said to be menopausal when she has not as much as possible, cessation of smoking and tobacco had her period for 12 consecutive months. Before the consumption. complete cessation of menses, there is a period of around 3-4 years where the female may have irregular periods and may Ÿ Vaginal dryness - Use of over-the- have several other problems like abnormal menstrual ow, counter moisturizer or lubricant. vasomotor symptoms like hot ushes, sweating, vaginal dryness, itching, mood changes, weight gain, reduced sexual Ÿ Urinary incontinence - Kegel's drive, hair loss, insomnia, urinary incontinence, increased hair and other pelvic oor muscle growth at areas like face, chest, etc. and painful joints. This strengthening exercises. period is known as menopausal transition. This menopausal transition occurs due to the changes in the production of Ÿ Insomnia - Meditation and hormones like estrogen and progesterone. relaxation techniques Post-menopausal period: Ÿ Low bone mineral density - The period after the menopausal transition is known as Regular exercises like Yoga, strengthening exercises, weight post-menopausal period. Due to reduced levels of certain bearing exercises, etc., hormones in the body, the female may become prone to the consumption of Vitamin D and development of certain disorders like cardiovascular calcium rich foods like eggs, disorders, fractures, etc. sh, mushrooms, milk and other dairy products, green leafy Doctor consultations: vegetables, soya bean, etc., It's imperative that regular visits to the doctor be exposure to sunlight. maintained. Chances of ovarian cancer, cervical cancer, Ÿ All these activities will also help breast cancer, etc. increase drastically post-menopause. in elevating the mood and Preventive health care is crucial and may include undergoing maintenance of weight. screening tests, colonoscopy, mammography, etc. Managing menopausal symptoms: Menopause is a normal phenomenon but that does not make the symptoms faced by women normal or acceptable. Management protocols exist for all these symptoms felt by the females. Hormone replacement therapy (HRT) forms the mainstay of medical management. It involves consumption of hormonal medications to replace the hormones that are now decient in the female body. HRT can help in relieving most of the menopausal symptoms but its consumption in the long run has been associated with an increased risk of cardiovascular diseases and breast cancer. Other management strategies include non-hormonal medications, topical medications and symptomatic management but they all have been proven to be less effective than HRT. 15

Following are some of the exercises that can be followed: Kegel Exercises: Before starting the Kegel exercises, it is important to identify the right muscles. In order to identify the pelvic oor muscles, you can try to stop urine ow mid-stream. If you are capable of stopping it, you have contracted the right muscles. You can also insert your nger inside your vagina and try to squeeze your nger. If you feel tightening around the nger, you have contracted the right muscles. Now, try doing the same activity while sitting or lying with your legs bent at the knees. Try to hold this contraction for 3-5 seconds and then let go. Repeat this for 10 times. Try not to clench your butt or bring your legs close while doing this. Try to increase the holding period and the number of repetitions gradually. As progression, try doing this with arm, leg and trunk movements. Following asanas can be done for menopause- Setu Bandhasana SuptaVirasana Yoga Virasana Adhomukhasavasana ArdhaPinchaMayurasana Uttanasana 16

Diaphragmatic Covid-19 and Physiotherapy Breathing By: Dr. Manali Reshamwala -Positioning Ÿ Countries all across the world are in various stages of -Incentive Spiromentry the pandemic with many countries like India now entering the \"day after\" Covid-19 phase. -Pranayam Ÿ The diseasemainly affects lungs and so to other -Positioning with systems. Most of the persons who recover from this precussion infection has profound weakness of both musculoskeletal and respiratory muscles, due to that -Flutter/ acapella device they have difculty in day to day activity in life and -Coughing/huffing may feel anxiety and depression. -Aerobic training Ÿ As we all know that virus most commonly affects to (Warm-up, walking or elderly and people with comorbidities, they require static cycling training physiotherapy to overcome all this problems. and cool down) Ÿ Physiotherapy, more over cardiopulmonary rehabilitation helps to improve quality of life,to Strengthening and improve oxygen level, to reduce effect of disease stretching exercise and to prevent hospital admission. Various physiotherapy treatment Ÿ In India, government have opened “post-acute for patients with post-acute care rehabilitation centers” in government hospitals. Post- acute rehabilitation is given to the patients who have recovered and discharged from hospital due to COVID-19 infection. Ÿ When a patient is referred for physiotherapy, a physiotherapist will take a detailed assessment and plan treatment for individual patient. Ÿ Most patients have problem of low oxygen levels, difculty in breathing, secretions in lungs, weakness and dependency. Ÿ Physiotherapy Management includes various respiratory, aerobic and functional exercises. Ÿ Physiotherapy is aimed to improve breathing, oxygen level, removal of secretion and promote coughing, improve muscle and general weakness, and support the patient psychologically. 17

Diaphragmatic Exercise Positioning to improve oxygen level Incentive spirometer for respiratory Use of Acapella device for hufng exercise for muscle exercise removal of secretion removal of secretion These all exercises are performed under physiotherapist as continuous monitoring of Heart rate, Blood pressure and oxygen level in patients. Physiotherapy has proven its vital role and making patient recover from all the effects of disease and making patient independent as early as possible. References: 1. Post-covid management protocol, guidelines by Government of India, Ministry of health and family welfare 2020. 2. World confederation for physical therapy (WCPT). WCPT response to COVID-19 Brieng paper 2. Rehabilitation and the vital role of physiotherapy. May 2020. 3. Sharickshamsi, ThamerMugheeb and Shabana Khan. Physiotherapy Management of COVID-19. International journal of science and healthcare research 2020; 5(3):108-116 4. Sheehy LM. Considerations for postacute rehabilitation for survivors of COVID-19. JMIR public health and surveillance. 2020; 6(2):e-19462 5. Physiotherapy Management includes various respiratory, aerobic and functional exercises. 6. Physiotherapy is aimed to improve breathing, oxygen level, removal of secretion and promote coughing, improve muscle and general weakness, and support the patient psychologically. 18

Sitting disease may not sound like Sitting Disease By: Dr. Ruchi Desai something to worry about, but in reality, it could be one of the biggest However, the World Health Organization says 60 to 85% of health issues many of us face. It is the the population of the world doesn't get enough physical fourth leading risk factor for mortality activity. Physical activity is any kind of movement as simple as throughout the world is being standing, walking for a few steps, etc. whereas sedentary physically inactive. “Sitting is the new behaviour involves little to no movement. smoking” was appropriately quoted by James A. Levine. What's hard to understand is the fact that even if you're exercising every day, you can still be sedentary. For 'Sitting Disease' is nothing but a example, you may exercise thirty minutes or an hour every condition in which people spend just day but apart from that, the time you spend sitting or lying three hours of the day standing as the down is still considered as a sedentary lifestyle. rest of the hours go for sitting and sleeping. If this continues for long the Technology has contributed almost entirely to the shift results can be disastrous. Specially, towards sedentary lifestyle for many people. Yes, technology during this Covid-19 pandemic, makes life and even work more convenient, but that comes at Lockdown brought with it Work from a cost to our health. Home (WFH) which has forced people to be constantly glued to their HOW DOES A SEDENTARY LIFESTYLE AFFECT YOUR computer screens not just for work but BODY? for movie/TV series. 1. Legs and gluteals (bum muscles): Sitting for long periods When it comes to sitting disease and a can lead to weakening and wasting away of the large leg sedentary lifestyle, it can be difcult to and gluteal muscles. combat, as many of us may spend eight hours or more a day sitting 2. Hips and back: Sitting causes your hip exor muscle to because of our job. shorten, which can lead to problems with your hip joints. It can also cause problems with your back, especially if you What Is a Sedentary Lifestyle? consistently sit with poor posture or don't use an -A sedentary lifestyle means that you ergonomically designed chair or workstation. don't get enough physical activity regularly. 3. Weight: Burning fewer calories and metabolism may slow down, making it more challenging for body to break down According to the Centre for Disease sugar and fat Control and Prevention (CDC), people should participate in at least 4. Anxiety and depression: it also affects our mental 150 minutes of moderate exercise a health.For example, if you don't get enough physical week, or 75 minutes of vigorous activity during your day, it can make it tougher to fall exercise per week. asleep and stay asleep at night. 5. Cancer: Research also shows that high levels of body fat can cause chronic inammation and it can then attack the cells of our body and cause DNA damage that leads to cancer. 6. Heart disease: Sitting for long periods has been linked to heart disease. 7. Diabetes: Studies have shown it increased insulin resistance in body, this will cause blood sugars to increase above what is healthy 8. Varicose veins and Deep vein thrombosis: 9. Stiff neck and shoulders: sitting hunched over a computer for too can lead to pain and stiffness in neck and shoulders 10. Bones can also weaken. 19

TIPS TO COMBAT HAZARDS OF SITTING Ÿ Stand when you talk on the phone. Ÿ Use your break to take a walk, even if it's only for a 1.) STAND MORE: Standing up more frequently is a good way few minutes. to break up our workday and even try to Ÿ Walk with your colleagues for meetings rather than get more active at home. A good place to start is alternating between sitting and sitting in a conference room standing every thirty minutes this is easy Ÿ Take your lunch break away from your desk and and can be done throughout your workday. Additional easy tips for incorporating into enjoy a short walk outside if you can. our life at home include: Ÿ Organise walking meetings. Ÿ Keep a set of light hand weights Ÿ Park further away from wherever you're going and wherever you typically watch TV. You walk the rest of the way. can lift them and incorporate them into your routine. Ÿ You can perform some stretching while watching TV. Ÿ Try to make time to walk around your neighbourhood every day and you can use it as a time to reconnect with your spouse at the end of the day or be outside with your kids. Use it as a time to relax and unwind. Ÿ Pace while you text, talk on the phone, or respond to emails. Ÿ You can also try indoor activities such as: Dancing, swimming at an indoor pool, yoga, Pilates, etc. 2.) GET MORE ACTIVE AT WORK: Your workplace is probably where you spend a large chunk of your life, and it may also be where you're almost entirely sedentary. Stand up every thirty minutes, and try to walk around your ofce at least once every hour. 3.) OTHER WAYS TO BREAK YOUR SEDENTARY LIFESTYLE: Ÿ Wear an activity trackerwhich reminds you for doing activity if you become sedentary for longer duration. Eg: now adays many people are using smart watch which gives reminder at every hour to get up and move while working on computer. Ÿ Move your body as soon as you wake up every day Ÿ Try home workouts Ÿ Regularly play music in your house because music gives you energy and encourages you to move Ÿ Cook more of your own meals Ÿ Plant a garden: a reason to get up and head outside so you can take care of it. Ÿ When you go inside a store, take a lap around the perimeter before you start shopping Ÿ If you don't have a pet, but you think you could take on the responsibility, get a dog. A dog will encourage you to get out and about and stay active. Being sedentary has become an unfortunate by product of the convenience technology and modern lifestyle has given us but it doesn't have to be our reality. Be conscious about the level of physical activity you get each day, and nd creative but attainable ways to move your body more each and every day, whether you're at home or work. 20

ENVIRONMENTAL PHYSIOTHERAPY: Contribution of a physiotherapist towards planetary health. - By Dr. Srishti Banerjee In today's unprecedented times where we are facing a huge environmental crisis such as climate change , melting of ice caps , plastic waste polluting the oceans and other natural habitats which points towards a mass species extinction. However health care seems to be slow in thinking about its relation and impact on these environmental crisis. As healthcare becomes more technologically advanced, it is using more natural resources and generating more pollution. According to a study conducted in US in 2013 healthcare is responsible for signicant fractions of national air pollution emissions and impacts, including acid rain (12%), greenhouse gas emissions (10%), smog formation (10%), criteria air pollutants (9%), stratospheric ozone depletion (1%), and carcinogenic and non- carcinogenic air toxins (1–2%), where the use of technology in radiological investigations and surgical procedures contribute to environmental crisis, the alternative , complementary medicine and indigenous health practices, which have always seen a person's health intimately connected to the health of the air, the rivers, the land and place. In recent years, more orthodox elds have begun to explore the therapeutic connections between people and environments, with new ventures like ecotherapy and adventure therapy growing out of psychotherapy, the use of 'nature' prescriptions by doctors, the exploration of outdoor recreation as a means of fostering public health, and the critical and empirical study of the relationship between environment, space, health, and disability becoming more prevalent in healthcare thinking and practice. Over the course of its history, physiotherapy has maintained only loose explicit ties to the environment. Yet, as a therapy with a strong basis in 'natural' touch, as well as activity- and movement- based biophysical approaches to assessment and treatment, physiotherapy has much to offer a burgeoning environmental consciousness. More recent evidence for the relation between physiotherapy and the natural environment can be found, for example, in the ongoing exploration of animal physiotherapy (physiotherapy for animals), as well as physiotherapy with animals (e.g. equine-facilitated physiotherapy), and the recognition of problems arising from restrictions in participation in meaningful outdoor activities as a result of injury or lack of access to outdoor environments. One signicant move physiotherapists can make would be to identify physiotherapy as an environment- friendly healthcare practice. With its emphasis on low-tech, hands-on and interpersonal approach to therapy, Physiotherapy can rightfully claim to be one of the more eco-friendly approaches to healthcare, within a eld that is becoming increasingly dominated by the techno-sciences. Enhancing people's use of physiotherapy might also reduce the increasing dependence on resource intensive technologies like diagnostic imaging, medical screening and surgical repair. Environmental physiotherapy association is the rst collaborative network which provides a platform to explore and support this cause. 21

Mark Taylor writes about moving physiotherapy outdoors in one of his blogs. Where emphasis is placed on three major aspects. Firstly, running sessions as outdoor running sessions provides a practical and functional method of assessment. Outdoor running session can provide with information on different running styles at different stages of fatigue, breathing patterns and compensatory mechanisms. Secondly, emphasis is placed on sports specic rehabilitation , outdoor sessions can help with reintroduction of faster , more extreme and unpredictable movements which aid in not only analysing sports specic movements but also helps the athlete in building condence, skill and provides with a better clarity of their potential. The third point which Mark Taylor highlights is walking and talking, where the fundamental basis is as simple as taking a walk with the patient outside the clinic which helps in achieving functional goals like walking on uneven surfaces. All the above mentioned points come with two way benets where on one hand we are minimizing the load on the non renewable sources of energy when we move out of the clinical setting and on the other hand outdoor physiotherapy helps in achieving practical goals for our patients. In today's time where all of us are battling against the pandemic, the undeniable fact here is that the changes in our practice are going to stay with us for quite a long time , in such a situation outdoor physiotherapy comes with added benets where the transmission of the infection is minimized and it spares us from the discomfort of wearing personal protection gear. However outdoor physiotherapy is not a replacement for physiotherapy in clinical setting but more of an adjunct where we as physiotherapists can contribute to planetary health and provide a wider horizon for hands on approach. References: 1. Filip Maric & Dave Nicholls (2019) A call for a new environmental physiotherapy - An editorial, Physiotherapy Theory and Practice, 35:10, 905-907, DOI: 10.1080/09593985.2019.1632006 2. Moving physiotherapy outdoors by Mark Taylor | Aug 3, 2020 | Clinical Practice, Greenspace Ecxposure2020. 22

TALES OF INSPIRATION Dr. AALAP SHAH We wanted to bring the super specialty element in Physiotherapy Founder/Director /Rehabilitation eld, which is a combination of the best approaches worldwide. After a few days, we were shifted to Rapid antigen MISSION HEALTH Super Speciality Center testing at LG hospital for our Dome duty. We received trainingthrough video as well as got live demonstrationfor the testing to be conducted. You are the Founder/Director of We were to work in a team of 3 people – one used to ll the form Mission Health. while the other two used to do testing of patients and check the report which could be either positive or negative. Then if the subject was Tell us what prompted you to begin this found positive, we used to explain them further actions to be taken – Institution, which has been touted to be isolating self, regular medications, required precautions and getting India's Super Specialty Physiotherapy, their family members tested. It was very tiring as we had to keep our Fitness and Rehabilitation Centers? PPEs on for around 4-5 hours, and after that, we had to sanitize the area, check for all the forms, mark those subjects kits which were - We (My wife, Dr. Disha and I) were positive and then do proper dofng and disposal of our PPEs and the fascinated by the science of tested kits and again report to the respective medical ofcer and Physiotherapy/Rehabilitation and provide the data. Dome duty was given for alternate days so we had endless possibilities that this profession enough time to relax. The AMC took good care of us and relieved us has to offer to improve the quality of life after few days for a break, following which we were again posted for for millions of people. Sanjeevani duty in SVP hospital.This time we were divided in teams of two. We were shocked to know that the number of cases had While we kept studying in different increased drastically from our previous Sanjeevani duty allotment. parts of the world, we realized different countries focused on a specic As a person belonging to a health allied branch, this was the treatment approach but all the while the best experience for me. I interacted with patients, cleared universal approach was missing. theirdoubts, guided them about self-care, and most importantly, I served the people of my country.It was deeply agonizing to see the rapid increase in the number of cases, the worsening of situation and the extent to which the pandemic had engulfed our lives. It was always sorrowful to know if any of the patients had succumbed to the disease. Ÿ Tell us a little about your specialization... I have been accredited with a Master's Degree in Physiotherapy as well as international certications on Spine & Knee Rehab, Foot & Lower Limb Biomechanics, Shoulder & Hand Rehab, Sports Rehab, Exercise Physiology, Ergonomics, Bone Health, Robotics in Neuro Rehab, Pulmonary Rehab, Vascular Physical Therapy, Rehab in Rheumatology etc. I am currently pursuing a Ph.D. in Spine Rehabilitation, as I strongly believe learning should continue in every profession. I am also faculty for several international academic institutions in India. I have several publications in national and international journals to my credit. Ÿ Dr Aalap Shah you were recently awarded with the prestigious “Times Men Of The Year – 2019” award from Times Group by Bollywood celebrity Chitrangda Singh & Cabinet Minister Saurabh Patel. Congratulations on that. To this, you were also awarded by Times Health icons of 2018 and 2019 subsequently. What do such accolades mean to you and your work? Appreciation means a lot to us as a team. We work day in and day out to bring the best in the Physiotherapy & Rehabilitation eld in India. Firstly, we feel happy with the positive results patients undergo, secondly, such appreciation by renowned institutes also matters a lot. Frankly, this pushes us to strengthen our efforts and work harder than the previous day. 23

Ÿ Dr Aalap you conducted “Balance” – The Ergonomics workshop in Kenya recently at various venues. Tell us more about your International experience? Oh, excellent…We were treated there like a celebrity & basically they are so warm and positive people. We conducted workshops for OYL, MP Shah and I&M Bank, a total of more than 2000 people. “Balance” – The Ergonomics Workshop is signature workshop by Mission Health and a rst of its kind in the world. We met 50 close friends and families to guide them on their orthopaedic, neurology and/or other issues on a friendly basis. We also attended many social dinners. We met 2,100 people in ve days and still that was not enough. Ÿ That is so interesting. We read somewhere that you lead India's largest team of Specialised Physiotherapists at Mission Health. When was the hospital founded and what has its journey been since? We started our humble journey with the team of 3 physiotherapists in 2007 at Dharnidhar area of Ahmedabad. Today, we are India's largest team of more than 250 super-specialised physiotherapists from different parts of world working at Mission Health. Mission Health spans 110,000 sq ft. area in Ahmedabad across six prime locations - Dharnidhar, Drive in, Maninagar, Bopal, Chandkheda & Science City. In the year 2018, Mission Health launched its sixth branch, which is one of its kind and Asia's largest and most advanced Physiotherapy, Fitness & Rehabilitation Centre equipped with advanced Robotics for Neuro Rehabilitation and most advanced Pain Management & Tissue Healing Technologies & world class tness facilities. Mission Health also houses 5-star Rehab suites for accommodation of global patients. Since its incorporation in June 2007, more than 100,000 people have beneted from Mission Health's Physio, Fitness and Rehab services and solutions of which 30,000 patients have been successfully treated for spine related issues with Unique 7 step Rehab Plan of Mission Health. Ÿ Tell us about 1 experience that you would want to share during this fantastic journey? When we wanted to open our 1st branch, none of the banks were ready to give the Loan & today many banks are in queue to give loan of any amount to Mission Health. The moral is that level of credibility is created over a period of many years and your work speaks and speaks loudly. Ÿ Any criticism during this journey? Oh, so many incidents of people criticizing & demotivating us for what we dreamt to build but thanks to them it made us do more stronger efforts and wow today they are too surprised to see level of Physiotherapy profession & Mission Health going to the next level. Praised for its non-invasive, non-surgical treatments, the team at Mission Health believes in treating patients without unnecessary medications, injections or surgery. Ÿ Tell us more about this interesting ideology? This is a very good question. Very important too. We have our own detailed assessment system by our highly specialized consultants, which takes 30-45 minutes to conclude what the root cause of the problem is. Once we are sure about the cause of the problem, we make a detailed treatment plan to resolve the cause, so effect (symptom) is automatically sorted out. Yes, our theory is No Medicines, No Injections & No Surgery. One of the most unique concepts in the world and it has been so successful because no one wants to go under the knife, unless unavoidable. For example, 95-98% of Back pain/Neck pain can be treated with our 7 Step Spine Rehab plan without medicines/injection/surgery. Medicine gives temporary relief with lots of side effects, injections are not desirable due to many reasons and surgery has its own risks, so Physiotherapy is the best way to manage many issues in this era. Ÿ Keeping in mind your passion, what is your mission and vision for Mission Health? VISION Mission Health will be The trusted Physiotherapy, Fitness and Rehabilitation Center in the world through its unrelenting pursuit of excellence. We envision touching lives of people globally by making them pain free, healthy and happy because we believe \"movement is life\". 24

MISSION Our Mission is to represent & promote the Profession of Physiotherapy in its active & leading role in Prevention & Rehabilitation of various health ailments leading to optimum quality of life for the community thus \"Building Healthier Lives\". Mission Health's mission statement recognizes that to thrive tomorrow, we must be successful today in generating benecial & outstanding results for our patients/clients by delivering value that exceeds their expectations. Mission Health will be always dedicated to help patients restore function and quality of life. We are committed to provide exemplary care with professionalism & compassion, striving to build strong relationships with our patients/clients at Mission Health. Excellence is our Attitude and we continuously work to maintain it in our infrastructure, technologies, expertise, protocols & care. Ÿ How many people have benetted from these workshops? Could you name some of the prominent personalities you have assisted? Mission Health team has educated more than 500,000 people on Ergonomics and other health subjects; the list of which includes Hon. Prime Minister of India Shri Narendra Modi, Hon. Late President of India APJ Abdul Kalam, Hon Home Minister of India Shri Amit Shah, chief ministers and cabinet ministers of various states, IAS/IPS ofcers, sports and Bollywood celebrities, saints of various religions as well as several corporates. 5,00,000 people educated on this subject by a single organisation would be rst of its kind in the world. Ÿ We heard that Mission Health is popular for Spine treatment, can you tell us how many Spine patients are treated at Mission Health so far? Yes, people from all over world and different parts of India come to Mission Health for non-surgical spine treatment and we have successfully treated more than 30,000 Spine patients in last 12 years. Ÿ Does Mission Health have accommodation facilities for patients travelling from different parts of the world? Yes, we do offer world class accommodation for patients travelling to Ahmedabad for our treatment. We call these facilities 'Rehab Suites' which is accommodation within the premises. We also provide pick up and drop services from the airport to all our patients and we have a separate Global Patient Service Team who looks after their comfort while they are with us. Ÿ Any parting words for Physiotherapists? This is best time in the history of humanity to become a Physiotherapist. The scope of growth and work satisfaction both are amazing and unlimited for the Physiotherapists who wants to do really great work. 25

Mr. Vinod Sanepara is an inspiration who never stepped back due to VINODBHAI SANPERA any of his disabilities. He pursued his studies in different cities of Gujarat starting from Rajkot [Divyang School] to Ahmedabad Vinod Sanepara a proud survivor [Apang Manav Mandal] to Palanpur and then back to Rajkot for with Post-polio syndrome!! graduation. In this long journey to educate himself there were instances where he had his class on the third oor and he used to reach Mr. Vinod Sanepara was a normal there with bag in his mouth and balancing himself correctly. But he child born in a small district near pushed through these difcult times to come as a winner on the other Rajkot. Life took a turn when at the age side. India is a country where we nd a lot of people who are of 9 months he fell ill with what seemed differently abled, but there is still a lack of awareness among the to be a regular u. His parents people. This lack of awareness many a times proves to be detrimental consulted a doctor at the local to the people who need it the most. Being a teen Mr. Vinod Sanepara government clinic, the doctor decided was a very active and joyous kid, riding tricycle and enjoying life to its to inject him with some antibiotics. This fullest but all the while he never realized that his condition was turned out to be the most tragic phase deteriorating. His condition worsened and eventually he started of his life as just after a day of the developing postural scoliosis. But he still pushed through and treatment he was diagnosed with continued and completed his education with excellence. Later, for POLIO. The polio affection was so better future prospects he decided to shift to Surat. severe that he lost the ability to move his hands and legs after that. Psychological issues are always considered to be a taboo in the Indian society and often, people who are going through In spite of facing innumerable psychological problems do not nd a safe environment to talk about hardships at such a tender age, he was their problems. The same problems are faced by the differently fortunate to have great support from abled people. They go through a lot of psychological and emotional his parents. They never gave up and trauma in their lives and most of the times, it becomes very difcult to tried every eld of medicine nd the right person to talk about it. Similar problems were faced by (Allopathy, Homeopathy and Mr. Vinod Sanepara when he started a new phase in his life – his Ayurveda) in order to treat him. career. A lot of negative thoughts engulfed him and he found it very difcult to get through it. But a lifetime of struggle and adversity had As said by the great scientist STEPHEN taught him that “Every dark cloud has silver lining”. He found positivity HAWKINGS: and the strength to ght this too and he started consulting the right doctors. He tried to learn more about the causes and consequences of “CONCENTRATE ON THINGS YOUR Polio. In his endeavor to learn more, he realized that Polio is not DISABILITY DOES NOT PREVENT something that can be completely cured either conservatively or YOU DOING WELL, AND DO NOT operatively. The goal lies in managing the symptoms of the affected person and trying to maintain the quality of their living. This is when he REGRET THE THINGS IT INTERFERES came to know the benecial effects of Physiotherapy. He then started WITH. DON'T BE DISABLED IN the sessions of physiotherapy and after many consultations, his condition improved miraculously. And in a few months of therapy, a SPIRIT AS WELL AS PHYSICALLY.\" person with troubles in balancing himself could now walk on his own. Amidst all this he found a group of friends with the same condition who helped each other and others in need. They found more people like them and gradually many people got involved and thus an association was formed to help others. Perfectly said by the founders of the association: \"Chalte gaye aur karwaan banta gaya.\" The founders named the association “SADHUBHAI DIVYANG ASSOCIATION”. It was established about 15 years ago and has been helping people since then. The aim of this association is to create awareness among the society about Polio and different conditions that may lead to similar consequences. It tries to reduce the social stigma that is associated with disability. It is a non-prot organization for the patients with deep, genuine insights of \"lived experience\" of the journey. 26

They live as a family who celebrates all successes and festivals together. Last year, they celebrated the World Disability Day with a cordial invitation to chief guests who motivated and inspired them. They also try to arrange games and interactive sessions for the participants so they are not constantly made aware of their needs. A special and foremost achievement for the association was witnessed when the members actively participated in ‘AMBYLYMPICS’ [OLYMPICS FOR SPECIALLY-ABLED PEOPLE IN JAPAN]. They have an active participation in activities like swimming, handicrafts, games, writing, etc. An epitome of the power of positive thinking and faith in oneself, Vinod Senapara continues to be an inspiration for many, and his story, a brilliant testimony to how one can bounce back even when all odds are stacked against one. 27

INSTITUTIONAL VISITS Ÿ Visit to S.B.B. college of Physiotherapy, V.S. Hospital campus. Visit to S.B.B. college of Physiotherapy, V.S. Hospital campus. S.B.B. college of Physiotherapy is one of the oldest institutions in Ahmedabad, training individuals in the eld of Physiotherapy. Our students had the honor to visit this great institute and learn rst-hand the rehabilitation of various types of patients. Ÿ Visit to Mission Health Super Specialty Physiotherapy Centre. Mission health physiotherapy center is one of the leading chains of physiotherapy centres across Asia. Students of LJIPT had an enriching experience to witness latest technologies in rehabilitation, modern methods of assessment and the amazing work culture. Ÿ Visit to Jivan Sandhya old age home Students of LJIPT visited Jivan Sandhya old age home where they assessed the geriatric residents there and conducted a group exercise session. It was a fun, learning experience to communicate with the residents, learn life lessons from and also teach them about the importance of exercises, physical activity and taking charge of their own good health. 28

MEDIA COVERAGE 29

Student Achievements Gujarat University Rankers (2018-2019) SHREY CHAPATE 1ST RANK Shrusti Rajput Won Miss LJ Title (18/2/2020) KAVYA PANDIT 3RD RANK SANGAVI YASHVI 8TH RANK LJ INNOVATION VILLAGE 30

Being a STUDENT ARTICLES COVID Before the postings, we were provided training by the doctors, the professors, and the Dean of NHL college. We Warrior were divided into groups for duties – Rapid Antigen Testing at the Domes across the city and Sanjeevani duty which Greetings everyone, I am a student involved checking each and every home-quarantined patient. from L J institute of Physiotherapy, I We had supervisors and coordinators who helped us with our would like to share my experience duties and we were provided all services by the AMC – about COVID – 19 duty which was Protective gear, food and travel included (A huge thanks to given to us by the Ahmedabad the AMC for that!). We were accompanied by resident Municipal Co-operation. It was in the doctors who taught us at each and every step and made us month of October when we were self-reliant. provided with the news as per the increasing number of cases in For Sanjeevani duty (which we were all allotted), we Ahmedabad there was an urgent were provided with the list of patients from SVP as well the need for more medical staff for the UHC, so we had to check all the patients in the list and check identication and care of the people their vitals i.e. their temperature with temperature gun, who were infected by the Corona oxygen level with oximeter, blood pressure, and other virus. So during that time the AMC symptoms. At rst juncture, it looked quite simple. The difcult sent the recruitment letter to all part was to do all this while wearing a PPE kit in summer heat, colleges of Ahmedabad to send their maintaining constant sanitization, keeping the patient and third year and nal year students for ourselves protected and keeping the patient calm and the service. comfortable. After checking all the patients we had to report at UHC – take off the PPE kits, properly dispose them and When our college informed us then return to SVP and submit the entire day's report to our about it there was excitement and respective zonal in-charge. Documentation was really fear in our hearts because we were important as we couldn't afford to miss a single patient. supposed to tell our families that we were to do this duty and will be 31 going out and reaching patients to help them, however on the other hand, we were excited about the fact that we were getting a great opportunity to serve our people in this pandemic. This all happened in a rush as the colleges were taking online lectures, students were at their homes – few in Ahmedabad, few in their home towns, and few people in PGs or hostels and we had to report at the SVP hospital within 2-3 days for our training and yes, the most important of all, the news was we were getting stipend for our service which is a good news within itself.

After a few days, we were shifted to Rapid antigen As a person belonging to a testing at LG hospital for our Dome duty. We received health allied branch, this was the best trainingthrough video as well as got live demonstrationfor the experience for me. I interacted with testing to be conducted. We were to work in a team of 3 patients, cleared theirdoubts, guided people – one used to ll the form while the other two used to them about self-care, and most do testing of patients and check the report which could be importantly, I served the people of my either positive or negative. Then if the subject was found country.It was deeply agonizing to see positive, we used to explain them further actions to be taken – the rapid increase in the number of isolating self, regular medications, required precautions and cases, the worsening of situation and getting their family members tested. It was very tiring as we the extent to which the pandemic had had to keep our PPEs on for around 4-5 hours, and after that, engulfed our lives. It was always we had to sanitize the area, check for all the forms, mark sorrowful to know if any of the patients those subjects kits which were positive and then do proper had succumbed to the disease. dofng and disposal of our PPEs and the tested kits and again report to the respective medical ofcer and provide the data. It was once-in-a-lifetime Dome duty was given for alternate days so we had enough experience to work in this duty and be time to relax. The AMC took good care of us and relieved us a part of the chain with those doctors, after few days for a break, following which we were again nurses and other staffs who are trying posted for Sanjeevani duty in SVP hospital.This time we were to save lives of the people. And I thank divided in teams of two. We were shocked to know that the everyone whom I met during this number of cases had increased drastically from our previous period as it helped me learn a lot Sanjeevani duty allotment. about how people act in different situations, how to communicate with As a person belonging to a health allied branch, this patients, form a rapport with the was the best experience for me. I interacted with patients, family members and deal with cleared theirdoubts, guided them about self-care, and most problems that you face on your way. importantly, I served the people of my country.It was deeply The more I rewind those days I nd out agonizing to see the rapid increase in the number of cases, the more about what I learned while worsening of situation and the extent to which the pandemic helping others. I will forever be had engulfed our lives. It was always sorrowful to know if any grateful that in these difcult times, I of the patients had succumbed to the disease. could be any of help. Thank you. By: Shrey Chapate (Final year BPT) 32

ENCEPHALITIS OUTBREAK IN BIHAR: HISTORY In June 2019, an outbreak of acute Outbreaks of acute encephalitis syndrome (AES) have encephalitis syndrome occurred in occurred previously in the northern regions of Bihar state and Muzaffarpur and the adjoining districts eastern regions of Uttar Pradesh state of India. The rst case in Bihar state of India, amidst the of AES in Muzaffarpur district was recorded in 1995. There second-longest heat wave in the region, were 143 deaths in 2013, 355 in 2014, 11 in 2015, four in resulting in deaths of more than 100 2016, 11 in 2017 and 7 in 2018. In most recent years, the children, mainly due to hypoglycemia. death toll had remained under 20. In June 2019, an outbreak of AES occurred in 222 blocks of Muzaffarpur and the adjoining districts in Bihar. As a result of the outbreak, since 1 June 2019, 85 children died at the Sri Krishna Medical College and Hospital (SKMCH), the largest state-operated hospital in Bihar, while 18 children died at the Kejriwal Matrisadan, a trust-run hospital. Most of them were aged between 1 and 10 years. A total of 440 cases of AES were admitted to hospitals since 1 June 2019. As of 18 June 2019, 154 were being treated in hospitals. The term acute encephalitis syndrome (AES) was coined by the World Health Organisation in 2008. The symptoms of AES include an acute onset of fever and associated clinical neurological manifestations such as mental confusion, disorientation, delirium, convulsions, or coma. Early symptoms include headaches and vomiting, along with sudden hypoglycemia (drops in blood sugar levels), but may lead to coma, brain dysfunctions, and inammation of the heart and lungs. Those that survive AES may have long-term neurological weaknesses. The severe hypoglycemia can cause death. The syndrome is locally known as chamki fever in Bihar. 33

Cause - The cause of the outbreak is unclear: AES can be caused by different microorganisms including virus, bacteria, fungi, parasites and spirochetes, as well as chemicals and toxins. AES mostly affects children below 15. In India, AES was chiey associated with Japanese encephalitis virus (JEV) before 1975. The JEV cases and outbreaks became more frequent and endemic regions developed between 1975 and 1999. After 1999, non-JEV cases and outbreaks of AES were increasingly reported caused by other viruses including Chandipura virus (CHPV), Nipah virus (NiV), and enteroviruses. After 2012, it is observed that the cause has shifted to JEV. Initial examination shows little sign of the JEV or other viral routes in the affected children. A study by AIIMS Patna found the presence of enterovirus. High temperature, humidity, malnutrition, poor hygiene and lack of awareness are known aggravating factors of AES. Cases of AES tend to occur during the country's monsoon season. Since 1 June 2019, the temperature in Muzaffarpur has remained above 40 °C (104 °F) and the rains were delayed which may have aggravated the situation. Poverty and malnutrition are widespread among children in the region. Malnourished children lack a buffer stock of sugar as glycogen in the liver which puts them at higher risk of hypoglycemia. Awareness campaigns were carried out in March–April 2019 but were not conducted later due to the 2019 Indian general elections. The local administration was not watchful due to the few cases of AES in recent years. The region is the largest producer of lychee fruits in India. A 2014 study published in Lancet found that the methylene cyclopropyl acetic acid and hypoglycin A found in unripe lychee fruit can cause hypoglycemia and cited them as plausible cause of AES outbreaks. A diet heavy on unripe lychee fruits without having an otherwise full meal later in the day may put malnourished children at risk of hypoglycemia. Others disputed the ndings citing the unlikeliness of very large consumption of unripe lychee fruits, lack of cases in well-nourished children and many other pediatric illnesses causing hypoglycemia. Health ofcials reported that most of the victims suffered severe hypoglycemia. The hospitals and primary health centres lacked the required facilities to treat children. Government response: Chief Minister of Bihar Nitish Kumar announced an ex gratia payment of Rs.4 lakh (US$5,800) to the next of the kin of the children who died from AES. He also visited the hospital and ordered the expansion of the hospital. The union minister of health Harsh Vardhan visited and announced the set-up of 100-bed pediatric ward at the SKMCH as well as ve virology laboratories in Bihar. He also announced the upgrade of the India Meteorological Department's observatory in Muzaffarpur for better study of climate. Seven pediatric intensive care units have been established. The interdisciplinary team consisting of experts from Indian Council of Medical Research, National Institute of Mental Health and Neurosciences, National Institute of Malaria Research; National Institute of Nutrition, National Institute of Virology; National Institute of Epidemiology and All India Institute of Medical Sciences, New Delhi was formed and sent to Bihar to study the syndrome and establish the cause. A Supreme Court bench has ordered the Bihar government to le an afdavit to show the competence of medical facilities and other hygiene conditions in the state in the wake of this. The National Human Rights Commission (NHRC) sent notices to the Ministry of Health and Family Welfare and the Bihar government over the deaths and asked for a report in four weeks. By- Devanshi D Solanki 4th year BPT 34

STUDENT’s CORNER PROUD PHYSIOTHERAPISTS YAAD AAVE CHE Somebody asked me : you are a physio ? Yad ave che yad ave che tari gamti vato HOW MUCH DO I MAKE ? Yad ave che yad ave che masti vadi rato I replied : \" HOW MUCH DO I MAKE ? \".... Yad ave che yad ave che tari jode je khato I can make holding your hand Yad ave che yad ave che tari ankho ni palkho Seen like most important thing in the world Ke tara vagar jivu nathi Ke tara mate radvu nathi I can make you walk when u can't I can relieve your pain when pills can't Ke tu pachi avija I can give you hope when you have lost one Mane pharithi malija I can make you get up from a wheel chair I can keep you t, healthy and strong. Yad ave che yad ave che tari gamti vato Yad ave che yad ave che e masti vadi rato I work all day to make my patients live I will drop everything and run to make sure u never ...oooooooo Kem ke fall !! Today, I might make your life complete. (Gujju rap) How much do I make Jeni b jode jau bas yad ave che tu Ave to bas kar kem rovdave che tu All I know I make difference within you. Tara vagar hu aji b chu adhuroo PROUD TO BE A PHYSIOTHERAPIST. Tu pachi avi ja to hu b thai jau puroo YA KHUD SE DUR Yad ave che badhij tari kayeli vato Ya khud se dur kr de tu ya muje tere karib ane de, Tyarthij hu b naa suto ne naa khato Ek bhatka hua sahil hu me muje meri manjil se mil Avu jivan to mare jivvuujjj notu jane de.. Kem k Tara jevu me koi joyuj notu Kem k tara jevu me koi khoyuj notu Tere rasto k safar se ab thak gaya hu me,muje ab tere kinare se jud jane de.. Yad ave che yad ave che tari mari vato Bas tu j yad aave che Andhere rasto pr chalne se bhi ab dar lgta hai, Do kadam bs do kadam jindgi me muje tere sath chal BY : PARTH TRIVEDI lene de... Ya khud se dur kr de muje tu, ya muje tere karib ane de, Ek ajib si kahani ho tum, Jisko na meri manjil ki khbr or na apne safar ki.. Ek saval bahot purana ho tum jisko na mere sawal ki kr na apne javab ki.. Tere in lamho me rehne se ab ulaj chuka hu me. Muje ab to tere khavbo se riha ho jane de.. Ya khud se dur kr de muje tu ya muje tere karib ane de... FROM : RUTWA PATEL (LJ Alum) 35

Let’s Have Some Fun RIDDLES SUDOKU 1) Why was the skeleton so lonely? 692 - Because he had no body 72 2) I am under your face 9587 I am outside your body A biological case 936 Pressure brings pain sometimes. What am I? 75 19 - Skull 145 1398 3) How do you know if a spine nds you funny? 21 - It starts cracking up 981 OHH REALLY ! (Crossword) 1. Pakistan 2. Olmec 6 1 3. Surat 7 4. Vitamin C 4 5. Biopsy 10 6. Bhramaputra 7. Philippines 3 9 8. Pune 2 58 9. Hyderabad 10. Vatican Turn it upside down for answers 876493252 1. Mohanjodaro and Harrapan are now in..? 345782968 2. First American civilization..? 291568473 3. First british presidency in India was established at? 982135746 4. Vitamin which is easily destroyed during cooking..? 754826319 5. Test that helps to diagnose cancer..? 163947825 6. Yarlung Zangbo river in India is known as..? 417359682 7. International rice research institute is located in? 636271594 8. National institute of Virology is situated at..? 529684117 9. Centre of molecular and cellular biology is situated at..? 10. Smallest country in the world is..? Turn it upside down for answers 36

STUDENT TALENT HOUSE By Bhavya Amin By Neha Savaliya (Final year BPT) (Third year BPT) By Nidhi Makwana By Shalin Dodiya (Final year BPT) (LJ alum) By Mitu Patel By Mitul Parekh (Final year BPT) (Intern) 37

HEART & SOUL of LJIPT Our Students Batch of 2016-17 Batch of 2017-18 Batch of 2018-19 Batch of 2019-20 Batch of 2020-21 38

ACTIVITIES @LJIPT QUIZ COMPETITION A quiz competition giving us entertainment with a shower of knowledge. This amazing event was graced with the presence of our principal & faculty members. Students of all batches enthusiastically participated in the event. The participants were divided into 5 teams & named as Golden eagle, Blue whale, Black stallion, Pink panthers & Royal tigers. After winners were announced & prize distribution, competition came to an end & it was a mesmerizing and cherishing event. PARLIAMENTARY DEBATE National parliamentary debate held on 24 February 2019 at L.J Institute of Law. A total of 12 teams participated from colleges around India enthusiastically. L.J.I.P.T. had the honor of having two teams participate in the event. Both the teams performed exceptionally well as they stood rst and second runners-up. Participants from our institute were Aarsh Bhatt, Hetvi Dimothe, Disha Shah, Devanshi Solanki, Saloni Shah and Jaini Shah. Institutes from Gandhinagar, Mumbai, Delhi and Bangalore participated. It was an event to remember. L.J.I.P.T won against GNLU and MLC. The winners were honored to be rewarded by Hon. Manish Shah and Hon. Subhash Reddy and it was a proud moment for L.J.I.P.T. MARATHON The “Ahmedabad Distance Runner” marathon took its inaugural stride at ADANI Shantigram on Saturday evening, that is 23rd March 2019, started at 9:00 pm & lasted till Sunday morning, that is 24th March 2019,10:00 am. As a physiotherapist, it was a wonderful experience that the citizens of Ahmedabad enthusiastically took part in such a marathon where there was participation of around 800 people which included all age groups. The race also included categories such as full Marathon, half marathon, 5km & 10km run. It was pride to witness such an enthusiastic marathon that brought us an opportunity to treat such energetic citizens of Ahmedabad. Students of LJIPT had great experience of treating the athletes and seeing the athletes being satised with treatment. 39

DAYS CELEBRATION FOOD FEST 40

HALLOWEEN DAY SPORTS DAY 41

WORLD PHYSIOTHERAPY DAY Ÿ 8th September: the day every Physio waits for this day. L.J.I.P.T on this day participated enthusiastically to promote health and tness. Ÿ There were activities like yoga for peace, physical therapy, lot of fun with Zumba and aerobics. Ÿ Online competitions were also organized. TREE PLANTATION DAY The simplest thing to save and preserve the environment is by planting more trees. We at LJ took this pledge to save trees and planted more and more trees and took care of them. It was our pride privilege and pleasure to take the initiative of planting trees in campus to make it look greener and exquisite. The programme was held on 22nd July 2019. Other institutes' students are also participated in this event. Trees give us life directly and indirectly as they are source of oxygen production, CO2 consumption and source of rain. They are most precious gift to the humanity on the earth from nature for which we must be grateful, give honor and preserve for the mankind wellness. We should understand the importance of trees in our lives and do our best to save trees in order to save life, save environment on the earth. Trees are as valuable as gold that's why they are called as “Green Gold” on the earth. They are the real source of our health as well as wealth because they give us oxygen, cool air, fruits, spices, vegetables, medicines, water, wood, furniture, shadow, fuel to burn, houses, fodder to animals and other useful things. They consume all the CO2, refresh air from toxic gases and prevent us from the air pollution. After giving all this we give them nothing in return. Now is the time to give back what all we have taken from nature for our greed and need. 42

Webinar on “Clinical decision making ONLINE ACTIVITIES in Electrotherapy” Webinar on “Co-existing with COVID-19” MODEL POSTER COMPETITION ONLINE EXAMS PARENTS’ MEETING ONLINE LECTURES 43

YOUTUBE (More than 250 videos uploaded on our youtube channel - LJ Physio) Dr. P. Dhana Sekaran PT. Dr. Siddharth Joshi PT., Director,Associate Professor, LJIPT HOD,Ass.t Professor, LJIPT Dr. Nupur Shah PT., Dr. Priyasingh Rangey PT., Assistant Professor, LJIPT Assistant Professor, LJIPT Dr. Manali Reshamwala PT., Dr. Mehul Panchal PT., Assistant Professor, LJIPT Assistant Professor, LJIPT Dr. Ruchi Patel PT., Dr. Srishti Banerjee PT., Assistant Professor, LJIPT Associate Professor, LJIPT Dr. Himani Prajapati PT., Assistant Professor, LJIPT 44





LJ INSTITU TE OF PHYSIOTHERAPY ISSUE 1